Utero-cutaneous Fistula Following Cesarean Section Fruitful Management

  • Lubna Latif Al-Aleem Medical College. Gulab Devi Teaching Hospital
  • Dr. Nargis Iqbal Al-Aleem Medical College - Gulab Devi Teaching Hospital
  • Dr. Nosheen Salman Al-Aleem Medical College - Gulab Devi Teaching Hospital
  • Dr. Mehreen Nisar Al-Aleem Medical College - Gulab Devi Teaching Hospital
Keywords: Cesarean section, uterine repair, utero cutaneous fistula

Abstract

Utero‑cutaneous fistula is one of the most unusual entity and up till now only a few case reports have been published. Most Utero‑cutaneous fistulas are secondary to postoperative complications following caesarean or other pelvic surgery. A 30‑year‑old woman, Para 4+0, all LSCS noticed bleeding through Pfannenstiel incision scar, following forth cesarean section. A fistulous tract was demonstrated at examination with a probe, between abdominal wound and uterus. The women underwent laparotomy with excision of the fistulous tract and repair of uterine and abdominal walls by taking all preventive measures for recurrence. She remained well postoperatively, specimen taken from fistulous tract sent for histopathology.

Published
2021-01-02